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At least 541 records · Page 30Linked to original sources

Effect of manual lymph drainage massage on urinary excretion of neurohormones and minerals in chronic lymphedema.

Treatment of 29 cases of chronic lymphedema of various origins, mostly of the lower limbs, by manual lymph drainage massage resulted in significant changes of neurohormone excretion in the urine, whereas the secretion of 17-KS, thyroxine, minerals, and creatinine was not significantly changed. Comparison of the values of urinalysis before and after manual lymph drainage of the patients showed the following changes: 17-KS; -3.5% (non significant); 17-OH: -31% (significant); adrenaline: +50% (significant); noradrenaline: +19% (significant); serotonin: -22% (significant); 5-HIAA: +21% (significant); histamine: +129% (highly significant); thyroxine: -17% (nonsignificant); creatinine: -17% (nonsignificant); sodium: -1% (nonsignificant); potassium: -14% (nonsignificant). The corresponding values for ten controls were all non significant. These findings underline the importance of adrenaline and noradrenaline release by manual lymph drainage, which improves circulation. On the other hand, our results indicate the involvement of histamine and perhaps of serotonin in lymphedema formation, and suggest a combination of manual lymph drainage massage with antihistamine and antiserotonin treatment.

Adrenal Cortex Hormones↗

Massage as a respite intervention for primary caregivers.

Effective hospice care is dependent upon a caregiver who is able to with-stand the physical and emotional ardors of the experience. Direct support for the family caretaker is as needed and valuable as the direct care hospice agencies provide to patients. Massage was found to be successful in addressing many of the stress of primary caregivers. Nearly all of those who participated in an outreach project that used massage as a respite intervention reported reduced physical and emotional stress, physical pain, and fewer sleep difficulties.

Adult↗

Does aromatherapy massage benefit patients with cancer attending a specialist palliative care day centre?

A randomised controlled pilot study was carried out to examine the effects of adjunctive aromatherapy massage on mood, quality of life and physical symptoms in patients with cancer attending a specialist unit. Participants were randomised to conventional day care alone or day care plus weekly aromatherapy massage using a standardised blend of oils for four weeks. At baseline and at weekly intervals, patients rated their mood, quality of life and the intensity and bother of two symptoms most important to them. Forty-six patients were recruited to the study. Due to a large number of withdrawals, only 11 of 23 (48%) patients in the aromatherapy group and 18 of 23 (78%) in the control group completed all four weeks. Mood, physical symptoms and quality of life improved in both groups. There was no statistically significant difference between groups in any of the outcome measures. Despite a lack of measurable benefit, all patients were satisfied with the aromatherapy and wished to continue. Whilst this pilot study has shown that a randomised controlled trial of complementary therapy is feasible, it has also identified several areas that would require further consideration when designing future studies, e.g., the recruitment and retention of appropriate numbers of patients and the outcome measures used.

Aged↗

Use of massage in clinical practice.

Moves towards holistic practice in nursing have been reflected by increasing use of complementary therapies, including massage. The use of massage is viewed here in the context of both therapeutic touch and the gate theory of pain control.

Holistic Health↗

Distal propulsion of vena cava umbrella by cardiac massage.

Distal propulsion of a 28 mm umbrella filter from vena cava to femoral vein occurred in a 75-year-old woman during external cardiac massage. After cardiac massage, filter position must be checked roentgenographically. Optimal management of distal migration might include placement of a second umbrella to prevent recurrent emboli and proximal migration of the dislodged umbrella.

Aged↗

[Syncope in the elderly: diagnostic utility of carotid sinus massage in the head-up tilt test].

A 71-year-old man presented with a 6-month history of fainting. Consciousness was quickly regained without clouding or confusion. Ancillary investigations were inconclusive and he was treated with carbamazepine. The fainting spells did not cease and he was referred for a tilt-table test exam. In the head-up position (table tilted at 60 degrees), massage of the carotid sinus was immediately followed by asystole, unconsciousness, and a sharp drop in arterial pressure for 5 seconds. The same procedure in the lying position did not elicit clinical symptoms or haemodynamic imbalance. A diagnosis of carotid sinus hypersensitivity with a cardio-inhibitory response pattern was made. Carbamazepine was withdrawn and a double-chamber pacemaker was implanted in his right ventricle. He remained symptom-free for the ensuing 18 months. This case supports the diagnostic utility of carotid sinus massage during the head-up tilt test in patients with unexplained non-convulsive loss of consciousness.

Accidental Falls↗

Improved serum insulin profiles in diabetic individuals who massaged their insulin injection sites.

Eight insulin-dependent diabetic patients were studied on two consecutive mornings when they injected their usual morning mixtures of insulin. One morning they massaged their insulin injection sites 15 min after the injection. Free insulin levels rose 10.14 +/- 9.91 microU/ml higher (P less than 0.05) and serum glucose levels fell 8.3% lower (P less than 0.05) 30 min after massage than on the control study day.

Absorption↗

Beta2-microglobulin, carcinoembryonic antigen and prostatic acid phosphatase in split ejaculates and urine voided before and after massage of the prostate.

Analyses of split ejaculates and urine voided before and after prostatic massage have been used to evaluate the origin of beta2-microglobulin (b2m) and carcinoembryonic antigen (CEA) in human semen. CEA and b2m were present in rather high concentrations in all the fractions of the split ejaculates. The urine voided after massage of the prostate also contained increased levels of CEA and beta2-microglobulin. Split ejaculates, selected from the electrophoretic pattern obtained for each fraction, revealed that b2m in seminal plasma originates from the prostate and seminal vesicles in equal amounts. Besides the "free" b2m in seminal plasma, human semen contains a sperm-bound b2m fraction. Carcinoembryonic antigen was found in the highest concentrations in the second fraction of split ejaculates indicating that it originates mainly from the prostate.

Acid Phosphatase↗

Massage for the seriously mentally ill.

1. Some seriously mentally ill clients have unfulfilled needs for safe touch. 2. Flashbacks or provocative behavior have not been triggered by the use of massage in a structured setting. 3. The blending psychiatric skills and therapeutic massage can be an effective stress reducer for inpatients or outpatients who seek safe touch.

Humans↗

Massage as a nursing intervention: using reflection to achieve change in practice.

The process of reflection can be used by nurse educators to more fully understand the nature of nursing practice and to actively use that understanding to bring about change through education. This paper documents a process of reflection carried out by a nurse educator within an action research project. The project was intended to assist palliative care nurses to learn the skill of massage and successfully integrate this therapy into their practice. Reflection takes place before the action to achieve change is implemented, in order to identify factors which will affect the development and implementation of the project. The reflection includes discussion of methodological issues, consideration of the influence of massage and holism in nursing practice and the influence of practice and institutional factors on palliative care nursing.

Health Services Research↗

Using massage in the care of children.

Touch has long been an under-valued aspect of care, but more nurses are now bringing its benefits to patients in the form of massage. Sue Watson reviews the literature and discusses how massage can help in the care of infants and children.

Adolescent↗

TENS, electroacupuncture and ice massage: comparison of treatment for osteoarthritis of the knee.

The purpose of this study was to compare the effectiveness of transcutaneous nerve stimulation (TENS), electroacupuncture (EA), and ice massage with placebo treatment for the treatment of pain. Subjects (n = 100) diagnosed with osteoarthritis (OA) of the knee were treated with these modalities. The parameters for evaluating the effectiveness of treatment include pain at rest, stiffness, 50 foot walking time, quadriceps muscle strength, and knee flexion degree. The results showed (a) that all three methods could be effective in decreasing not only pain but also the objective parameters in a short period of time; and (b) that the treatment results in TENS, EA and ice massage were superior to placebo.

Aged↗

Utilising paediatric massage in an intensive care unit (PICU) in Saudi Arabia.

In this detailed case study of a very sick baby in a modern technological hospital, nursing staff and parents joined forces to implement and monitor a fully coordinated massage program in response to possible ICU psychosis. Positive results indicate that massage enhances the delivery of truly holistic care.

Clinical Competence↗

A study of carotid sinus massage and head-up tilt table testing in patients with syncope and near-syncope.

Patients with syncope of unknown origin are commonly evaluated using several diagnostic tools. It has been suggested that there is a significant overlap between the results of head-up tilt table testing (HUT) and carotid sinus massage (CSM). We retrospectively studied the association between tilt table test results and CSM outcome in 136 patients with syncope or near-syncope who underwent both tests. Carotid sinus massage was performed prior to the tilt test, with the patient supine. The patient was then tilted to 60 degrees for up to 30 minutes. If this did not elicit a symptomatic abnormal hemodynamic response, the tilt was repeated for up to 30 minutes with intravenous isoproterenol. An abnormal response on HUT was elicited in 18% of patients and carotid sinus syndrome was diagnosed in 13%. Mild carotid sinus sensitivity was seen in 14%. Both tests were positive in 4 patients (3%; 11% of patients with a positive test). There was no significant relationship between HUT outcome and CSM result (p = 0.03). Patients with an abnormal CSM result were older (p < 0.001) and more likely to have prior cardiovascular diagnoses (p = 0.01). The opposite applied to patients with abnormal HUT (p = 0.02 and p = 0.0048, respectively). In conclusion, we did not find a concordance between HUT and CSM outcomes in patients with syncope or near-syncope of undetermined origin.

Adolescent↗

Baby massage: a dialogue of touch.

The significance and benefits of touch and massage for preterm infants in Neonatal Intensive Care Units and in the community are discussed. The article emphasises the value of massage in helping parents to bond with their baby and as part of family-centred care. A bibliography is included.

Bibliographies as Topic↗

Aggressive adolescents benefit from massage therapy.

Seventeen aggressive adolescents were randomly assigned to a massage therapy group or a relaxation therapy group to receive 20-minute therapy sessions, twice a week for five weeks. The massaged adolescents had lower anxiety after the first and last sessions. By the end of the study, they also reported feeling less hostile and they were perceived by their parents as being less aggressive. Significant differences were not found for the adolescents who were assigned to the relaxation group.

Adolescent↗

[Effects of prostatic massage on serum levels of prostatic acid phosphatase and specific antigen].

We studied the influence of prostatic massage on the seric levels of acid prostatic phosphatase (PAP) and prostatic specific antigen (PSA) before and 1, 24 and 48 h after the examination. Three groups of patients were studied: 13 patients with prostatic benign hypertrophy (PBH), six patients with metastatic prostate carcinoma and 10 control patients (urinary lithiasis). We observed a significant elevation of both seric markers 1 h after prostatic massage in the PBH and control groups. In both groups, seric marker levels returned to normal values within 24 h with PAP and 48 h with PSA. We recommend to assay serum PSA and PAP with an interval of at least 48 h after rectal digital examination.

Acid Phosphatase↗